A Quick Way for DME Prior Authorization

A Quick Way for DME Prior Authorization

A recent survey forecast of 2019-2026 for the region of Europe, North America, MEA, and APAC by the end-user (like hospitals and nursing homes) stated, the durable medical equipment (DME) market size to increase USD 271 billion by 2026 registering a CAGR of 6.1%; due to technological advancement along with strong reimbursement in the DME market.

The emergence of the DME market does not end here; an expansion in the number of aged people across the globe is also one of the essential reasons increasing the demand of the market. Since peoples above 60 are more inclined to health risks like mobility issues, diabetes, cardiovascular diseases (CVDs) and other lifestyle problems creating demand for more and more for DME products.

With all this increasing demand for the DME, you need a faster and effective prior authorization operational extension. as this operational extension not only proves to be a convenient and cost-effective solution but also helps healthcare providers to focus more on other vital aspects like patient care, as there are so proficient with updated authorization regulation, process etc; reducing the authorization time. This is why PriorAuth Online is here to help for a successful DME prior authorization process.

PriorAuth Online A Faster DME Prior Authorization Answer:

Providing cutting edge prior authorization solutions, PriorAuth Online has a unique ability to offer unparalleled operational transparency, especially in the DME billing domain as more than 50% of our works involve in this domain. Powered by Sunknowledge Services Inc PriorAuth Online is an authorization platform for all authorization initiation, approval and follow-up with the ability to offer streamlined operation and faster reimbursement. In fact, our team takes the extra initiative in delivering all the heavy lifting work that improves our client's cash flow in the long run. Offering a successful authorization procedure our PriorAuth Online for DME prior authorization follows:

Authorization initiation- this starts with the collection of all vital information in this first stage, which is necessary for the treatment process. This then is followed by authorization initiation. The information which is collected covers the patient name, DOB, ordering provider’s name, NPI, Tax ID, address, phone no along with insurance information. ensuring a proper check on the diagnosis code, units for each service code, if ordering physician is PECOS certifies or not

Requesting authorization - this is the most critical part where documentation is been developed accurately collected through fax, call etc and verified and validated along with the authorization request is done. In this process, it is necessary to maintain constant oversight over all prior authorization requests that are outstanding in this process.

Continuous follow-up is made - our second last steps assure investigating to resolve whether the patient is eligible based on payer requirements for prior authorization. Once this is completed prior authorization is initiating through outbound calls, portal etc as per payers’ protocols/guidelines. Here waiting on the approval or denial of their request for ongoing authorization occur

Updating the authorization process- This ends with providing additional documents/ data if requested by the payer. This ends up updating all the prior authorization results in the billing system.

Having a clientele list of more than 100 satisfied clients at a service charge as low as $7 per hour, our team also excels in other medical billing processes including:

  • Order entry (patients, providers, insurance, items, etc)
  • Eligibility verification (both online as well as calling)
  • Prior authorization with patients calling and doctor’s office follow up for relevant documentation that needed for the process
  • Reauthorization
  • order Confirmation
  • Scheduling of delivery

Post billing services:

  • Claims management
  • Rejection management
  • Payment posting auto (with and without audit as well as manual)
  • Account receivable follow-up
  • Account receivable and denial management

With high quality medical billing services and benefits that no other RCM organizations offer like pre-billing activities, doctor office and patients calling for relevant documents, no cost dedicated account manager, no binding contract and immediately increases in your collection by 80% within the first 30 days by getting your PRIOR AUTHORIZATION accurately approved by us making us the perfect DME prior authorization destination. To know more details on what difference our experts can bring to the table for your DME prior authorization process, get in touch with our experts over a 'no commitment call', we are just a call away!

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Nancy is a freelance writer, with years of experience, creating content and own a blog, Read her amazing content on srcitisvpi.com